Health Insurance


We assist and consult health insurers and residual debt insurers on all issues in connection with insurance law, especially in the following areas:

 

  • Product costs, incl. development of new GPC
  • Medical cover and daily hospital benefits
  • Daily sickness allowance
  • Residual debt insurance (with disability, life, accident, and unemployment insurance)
  • Travel health insurance
  • Private nursing-care insurance
  • Law governing the profession and remuneration of medical professionals, in particular medical fee schedule (GOÄ)/dental fee schedule (GOZ)/law governing hospital reimbursement.
  • Fraud prevention
  • Management / collection of premiums 

 

More than 25 private health insurers seek our services on a regular basis, incl. nine of the ten biggest companies. Our highly qualified lawyers, who work exclusively in this area, attend to more than 2,000 actions on behalf of health insurers and more than 100 actions for residual debt insurers per year. As a result, we have acquired a unique experience that we constantly maintain and develop, for example in form of comprehensive in-house archives with unpublished court rulings and medical expert opinions. We know, what health insurance-related issues require particularly careful litigation, and we are often also aware of the unpublished legal opinions of the courts and of the particularities and strategies of many health-care providers and their lobbies. We use this knowledge and experience not only within the scope of litigation, but also to evaluate the prospects of success before going to court.

Key Contacts

 

Jan Wilmes

Theodor-Heuss-Ring 13-15

50668 Cologne

Tel  +49 221 944027-17

Fax +49 221 944027-38

jan.wilmes@bld.de

 

Stephan Hütt

Theodor-Heuss-Ring 13-15

50668 Cologne

Tel +49 221 944027-37

Fax +49 221 944027-38

stephan.huett@bld.de